Revision Hip Replacement

What is Hip Replacement Revision Surgery?

A hip revision procedure involves the removal of some or all components of a previous hip implant to replace them with new hardware. To ensure the new joint is stable and provides an optimal range of motion and support, surgeons often utilize implants that feature thicker and longer stems within the femur (thigh bone). In instances where significant bone loss has occurred, the surgical team may also use screws, wires, or bone grafts to reinforce and strengthen the area.

Who Should Consider Hip Replacement Revision Surgery?

This procedure is typically recommended for patients with a previous joint replacement experiencing the following issues:

• Implant Loosening: When the original prosthetic has detached from the bone. This can be caused by a high level of physical activity, an increase in body weight, or poor bone quality and trauma resulting in a fracture.
• Wear and Tear: Most implants have a functional lifespan of 15 to 30 years (or more, as technology is continually evolving, the implants placed recently may last longer than we think). Over time, friction between the joint components can cause the implant to wear out.
• Infection: While rare, an infection can develop in the joint even years after the initial surgery. Because this is a primary reason for revision, Fox Valley Orthopedics employs rigorous protocols during the first replacement to minimize this risk.
• Joint Stiffness: Some patients develop excessive scar tissue around the hip joint, leading to stiffness that significantly limits mobility and comfort.

How Effective is Hip Replacement Revision Surgery?

The vast majority of patients—over 90 percent—experience successful outcomes, characterized by improved joint function, better stability, and a significant reduction in pain. While some individuals may experience mild lingering pain after the procedure, and a small minority may continue to face challenges, most remaining discomfort can be managed effectively with over-the-counter medications.

It is important to note that revision surgery is more complex than an initial hip replacement. Consequently, there is a slightly higher risk of standard surgical complications, including anesthesia reactions, infection, or blood clots. There is also a greater possibility of the hip dislocating following a revision. To mitigate this, the surgeons and therapy specialists at Fox Valley Orthopedics work closely together to provide patients with comprehensive gait training and essential postoperative precautions to prevent dislocation. Some of this is also in the patients’ hands. Following post-surgical protocols and exercises diligently helps drive down the chances of complications.

What Can I Expect During the Revision Process?

Once your procedure is scheduled, a nurse navigator will contact you to address your specific needs and guide you through our educational resources and videos to ensure you are fully prepared for surgery.

To prepare for a successful recovery, we recommend the following:

• Arrange Home Support: Plan to have assistance at home during the first few weeks. Even if you regain basic independence quickly, you will likely experience fatigue and benefit from extra help.
• Optimize Your Living Space: Evaluate your home layout to make movement easier. This includes removing large area rugs and clearing walking paths in the kitchen and hallways.
• Safety Check: Ensure all handrails are sturdy and secure, and tuck away loose electrical cords to eliminate tripping hazards.

Before the operation, you will need a pre-surgical physical examination from your primary care provider. Depending on your health history, we may also require clearances from specialists in pulmonology or cardiology to ensure you are fit for surgery in Illinois.

On the day of your procedure, you will meet with your anesthesiologist and surgeon. The anesthesia team will determine the best approach for your specific needs—which may include general anesthesia, a spinal block, or a nerve block. The surgery typically lasts between two and three hours. After the operation, you will spend one to two hours in the recovery room before being moved to a private room.

While in the hospital, our nursing staff and therapy team will monitor your progress and help you meet the necessary milestones for discharge. While every patient is different, many are able to return home the following day. Regardless of whether you return home with a caregiver or independently, we ensure your discharge plan is safe and comprehensive.

Recovery timelines for revision surgery can vary widely between individuals. Most patients feel they have returned to their “normal” routine in about 8 to 12 weeks. However, achieving full recovery may take up to a year, depending on your overall health and your commitment to the rehabilitation and therapy process.